Provider Demographics
NPI:1497923577
Name:LAMBERT, KIMBERLEY L (MS, LPE)
Entity Type:Individual
Prefix:
First Name:KIMBERLEY
Middle Name:L
Last Name:LAMBERT
Suffix:
Gender:F
Credentials:MS, LPE
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:802 N 2ND ST
Mailing Address - Street 2:
Mailing Address - City:CABOT
Mailing Address - State:AR
Mailing Address - Zip Code:72023-2548
Mailing Address - Country:US
Mailing Address - Phone:501-743-3543
Mailing Address - Fax:501-941-2613
Practice Address - Street 1:802 N 2ND ST
Practice Address - Street 2:
Practice Address - City:CABOT
Practice Address - State:AR
Practice Address - Zip Code:72023-2548
Practice Address - Country:US
Practice Address - Phone:501-743-3543
Practice Address - Fax:501-941-2613
Is Sole Proprietor?:No
Enumeration Date:2008-02-12
Last Update Date:2012-07-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AR09-09E103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist